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General NPI Number Information
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NPI Number | 1023241833
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Entity Type | Organization
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Legal Business Name | AMAX HOME HEALTH, INC.
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 22750 HAWTHORNE BLVD 211
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City | TORRANCE
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State | CA
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Zip | 90505-3664
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Country | US
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Telephone | 310-373-8885
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Fax | 310-373-8886
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Provider Business Mailing Address
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Address Line | 22750 HAWTHORNE BLVD 211
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City | TORRANCE
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State | CA
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Zip | 90505-3664
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Country | US
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Telephone | 310-373-8885
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Fax | 310-373-8886
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CONG SU
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Credential | RN
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Telephone | 370-373-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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